Effective program design for the future relies on the ability to evaluate the effectiveness of current and past programs. The challenge of health and social services program evaluation lies in the complexity of the environments in which these services operate. Increasingly, research and development in this area involves both sophisticated and creative approaches to quantitative and qualitative data collection, analysis, and synthesis. HSR's strategy in program design and evaluation is to identify effective methods and tools and creatively apply them to the unique needs of each study.

 

   
   


Healthy Steps

HSR conducted one of the first evaluations of a state-funded health insurance program for children, Connecticut's "Healthy Steps" program. This evaluation analyzed program enrollment, service use, and expenditures and compared them to children covered under Medicaid and private insurance.

Evaluation of State Agency Nutrition Education Cooperative Agreements

For the Food and Nutrition Service of the US Department of Agriculture (USDA), HSR evaluated 22 states' efforts to develop nutrition education networks. The evaluation examined network development activities and their level of success in meeting cooperative agreement goals for providing nutrition education and social marketing.



Perinatal Substance Abuse

HSR conducted a process evaluation of five demonstration programs designed to improve the delivery and integration of prenatal and substance abuse treatment services for pregnant addicts. This qualitative evaluation, conducted in collaboration with Mathematica Policy Research, involved site visits and interviews at each site over three years.

Re-engineering the Welfare System

For the Economic Research Service of the USDA, HSR is conducting an evaluation of state efforts to re-engineer their food stamp programs as a result of welfare reform. HSR is conducting a national survey of state food stamp programs and selecting six states for detailed case study analysis.

EPSDT and Medicaid

For the Health Care Financing Administration, HSR conducted process evaluations of the structure and operations of Medicaid Early Prevention, Screening, Diagnosis and Treatment (EPSDT) programs in four states. This study analyzed state responses to provisions included in the Federal OBRA-89 legislation.

WIC Vendor Management and Food Purchasing Studies

HSR is conducting a national evaluation of the incidence and prevalence of grocer violations of WIC program rules and regulations. Under contract with the USDA, HSR is collecting data from a nationally representative sample of grocers authorized by states to provide food to WIC participants, and is analyzing data to examine variables that may be associated with inappropriate practices.

 

   
   


For more information about HSR's experience and expertise with program design and evaluation, please contact:

Lawrence Bartlett, Ph.D.
Director
Health Systems Research, Inc.
(202) 828-5100


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